SOUMYA PADALA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002710

License Status

ACTIVE

Business

First Name

SOUMYA

Last Name

PADALA

Business Name

SOUMYA PADALA

Original Issue Date

10/09/2015

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2024